Individual
SPENCER BUCHERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
220 SE 21ST ST, GRAND RAPIDS, MN 55744-4268
(218) 326-3438
Mailing address
220 SE 21ST ST, GRAND RAPIDS, MN 55744-4268
(218) 326-3438
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D13722
MN
Other
Enumeration date
08/01/2016
Last updated
06/17/2020
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